Moore, Justin Derrick

Moore, Justin Derrick is an individual health care provider with primary practice located at 9500 Euclid Ave # 44195 , Cleveland OH 44195-2648. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Moore, Justin Derrick can be contacted via phone (810) 223-1330.

Contact Information

Primary practice address
9500 Euclid Ave # 44195 Cleveland OH 44195-2648
Phone: (810) 223-1330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 35.139964 Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35.139964 Ohio

Profile Details

NPI number 1619323946
LBN Legal business name Moore, Justin Derrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2016
Last updated Apr 3rd, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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